Get Md Dhr/ssa 1279a 2016

This guide provides clear instructions for users on how to complete the MD DHR/SSA 1279A form online. Whether you are seeking information about a child protective services background check or need to provide consent for release of information, this step-by-step guide will walk you through the necessary fields and sections of the form.

Follow the steps to effectively complete the MD DHR/SSA 1279A form online.

1. Press the ‘Get Form’ button to obtain the form and open it in the chosen editor.
2. In Part I, indicate the purpose of the search by selecting either 'Release to self' or 'Release to an agency/individual'. Fill in the relevant details based on your choice.
3. For the 'Release to an agency/individual' option, provide the agency or individual's name, representative's name, address, phone number, and email.
4. In Part II, complete the search information accurately, including your last name, first name, date of birth, and social security number. Fill out the required demographic information such as sex, race, and any other names used.
5. List all previous addresses within the last 7 years in Maryland. Ensure that the information is complete and accurate.
6. In Part III, authorize the Maryland Department of Human Resources to share your information by signing and dating the authorization. Review all sections to confirm accuracy before proceeding.
7. If applicable, have a parent or guardian sign the form if you are under the age of 16. This indicates consent.
8. In Part V, if required, acknowledge the document before a notary public. Complete the necessary notary information.
9. Review the entire form for completeness. Once all details are accurately filled out, you can save changes, download, print, or share the form as needed.

Complete your documents online today to ensure a smooth process.